Intraoperative mapping of language functions: a longitudinal neurolinguistic analysis

Ilmberger, J.; Ruge, Maximilian I.; Kreth, Friedrich-Wilhelm; Briegel, Josef; Hj, Reulen; Tonn, Joerg‐Christian

doi:10.3171/jns/2008/109/10/0583

Cited by 93 publications

(94 citation statements)

References 48 publications

(28 reference statements)

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“…Intra-operative direct electrical stimulation of the central nervous system provides a real-time, reliable, precise and safe method of functional mapping useful for all operations on lesions located in these areas [6][7][8][9][10][11][12] . This technique minimizes defi nitive post-operative neurological defi cits while concurrently Neurosci Bull October 1, 2011, 27(5): [307][308][309][310][311][312][313][314][315][316][317][318] 308 improving the quality of resection.…”

Section: Introductionmentioning

confidence: 99%

Functional MRI mapping of category-specific sites associated with naming of famous faces, animals and man-made objects

et al. 2011

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Section: Introductionmentioning

confidence: 99%

Functional MRI mapping of category-specific sites associated with naming of famous faces, animals and man-made objects

et al. 2011

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“…Berger et al (21) and Duffau (22) applied DES to brain tumor surgeries, particularly low-grade glioma surgeries and concurrently carried out a large number of clinical studies in which the DES technology was applied to the location of subcortical pathways. All the aforementioned efforts have contributed outstandingly to the promotion of DES, making it one of the essential techniques in the functional area surgery of neurosurgery (23)(24)(25)(26). In 2002, Wang (Guangzhou, China) applied DES to the surgery of brain functional area lesions, and following four periods of nationwide study and training, this technology has gradually been accepted and promoted by neurosurgeons in China (11,12).…”

Section: Discussionmentioning

confidence: 99%

Glioma localization and excision using direct electrical stimulation for language mapping during awake surgery

Bai

Wang

et al. 2015

Experimental and Therapeutic Medicine

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Abstract. The aim of this study was to investigate the method and significance of the application of direct electrical stimulation (DES) to the brain mapping of language functions during glioma surgery. A retrospective analysis of clinical data was performed for 91 cases of brain functional area glioma surgery under DES from January 2003 until January 2012. Following cortical electrical stimulation, 88 patients exhibited seizures involving facial or hand movements and 91 cases experienced language disorders such as counting interruption, naming errors or anomia. The most commonly observed areas of counting interruption were distributed on the posterior part of the left anterior central gyrus (47.7%), the operculum of the left inferior frontal gyrus (24.4%) and the triangular part of the left inferior frontal gyrus (12.8%). Postoperative magnetic resonance imaging demonstrated that overall excision was achieved in 53 cases and sub-overall excision was performed in 31 cases. A total of 42 cases (46.2%) exhibited no postoperative neurological dysfunction, 39 cases (42.9%) exhibited brief language dysfunction, 27 cases (29.7%) experienced brief limb movement disorder, and one case appeared to have permanent neurological dysfunction. DES was indicated to be a reliable and noninvasive method for the intraoperative positioning of language areas, and was able to resect gliomas in the language area with maximal safety.

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“…Учитывая ограниченность перечисленных методик, большинство нейрохирургов в настоящее время предлага-ют дополнительное использование интраоперационного электростимуляционного картирования функционально важных зон, проведение которого возможно под нарко-зом и под местной анестезией [26][27][28][29][30][31]. У пациентов с опу-холями, поражающими моторные зоны, оперативное вме-шательство проводится с картированием корковых полей под местной анестезией.…”

Section: электростимуляционное картирование корковых полей и проводниunclassified

“…Тем не менее при возникновении индуцированных стимуляцией судорог рекомендуется применение холод-ного раствора Рингера для купирования судорожной ак-тивности [27,28].…”

Section: электростимуляционное картирование корковых полей и проводниunclassified

Awake craniotomy

Лубнин¹,

Куликов²,

Кобяков³

et al. 2016

Vopr. neirokhir.

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ОБЗОРПод достаточно устоявшимся в научной литературе термином «краниотомия в сознании» (англ. awake craniotomy) подразумевают нейрохирургические вмеша-тельства, которые осуществляются с использованием пробуждения пациента из наркозного сна с целью кон-троля сохранности тех или иных функций (речевые, дви-гательные, зрение, счет, письмо и др.), обычно с исполь-зованием электрофизиологических методов стимуляции мозга. Методику интраоперационной электростимуляции в современной нейрохирургии впервые опубликовал W. Penfield Краниотомия в сознании -это нейрохирургическое вмешательство, направленное на выявление и сохранение функцио-нально значимых зон головного мозга во время удаления опухолей, расположенных рядом с корковыми и подкорковыми центрами речи. Представлен обзор современной литературы, посвященной данной проблеме. Представлены анатомиче-ское обоснование, данные предоперационной функциональной нейровизуализации, интраоперационного электрофизио-логического мониторинга, нейропсихологических тестов, а также стратегия активного хирургического вмешательства. Краниотомия в сознании является интенсивно развивающейся методикой, направленной как на сохранение речевых и двигательных функций, так и на совершенствование наших знаний в области психофизиологии речи. Awake craniotomy is a neurosurgical intervention aimed at identifying and preserving the eloquent functional brain areas during resection of tumors located near the cortical and subcortical language centers. This article provides a review of the modern literature devoted to the issue. The anatomical rationale and data of preoperative functional neuroimaging, intraoperative electrophysiological monitoring, and neuropsychological tests as well as the strategy of active surgical intervention are presented. Awake craniotomy is a rapidly developing technique aimed at both preserving speech and motor functions and improving our knowledge in the field of speech psychophysiology.

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Intraoperative mapping of language functions: a longitudinal neurolinguistic analysis

Abstract: Every attempt should be undertaken to preserve language-relevant areas intraoperatively, even when they are located within the tumor. New postoperative deficits resolve in the majority of patients, which may be a result of cortical mapping as well as functional reorganization.

Cited by 93 publications

References 48 publications

Functional MRI mapping of category-specific sites associated with naming of famous faces, animals and man-made objects

Functional MRI mapping of category-specific sites associated with naming of famous faces, animals and man-made objects

Glioma localization and excision using direct electrical stimulation for language mapping during awake surgery

Awake craniotomy

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